CAJ | 학술논문

目的探讨不同程度及不同阶段腺性膀胱炎的治疗方法.方法回顾性分析47例腺性膀胱炎的临床资料,其中女38例,男9例,经尿道电切术+表柔比星膀胱灌注30例(手术+膀胱灌注组),单纯表柔比星膀胱灌注14例(膀胱灌注组),单纯对症治疗3例(病因治疗组).结果随访8~30个月.手术+膀胱灌注组和膀胱灌注组尿频、尿急缓解率分别为83.5%和72.3%,血尿缓解率分别为87.6%和79.2%,排尿困难缓解率均为100%,下腹胀痛及尿痛不适缓解率分别为75.1%和63.3%,病因治疗组患者临床症状均完全消失.结论经尿道电切+化疗药物膀胱灌注治疗病变广泛且症状较重的腺性膀胱炎效果理想;病变及症状均较轻且无明显合并症的腺性膀胱炎可采用单纯膀胱灌注;病变轻微且有合并症的腺性膀胱炎可给予去除病因的对症治疗.腺性膀胱炎具有复发及恶变倾向,须密切随访.
목적탐토불동정도급불동계단선성방광염적치료방법.방법회고성분석47례선성방광염적림상자료,기중녀38례,남9례,경뇨도전절술+표유비성방광관주30례(수술+방광관주조),단순표유비성방광관주14례(방광관주조),단순대증치료3례(병인치료조).결과수방8~30개월.수술+방광관주조화방광관주조뇨빈、뇨급완해솔분별위83.5%화72.3%,혈뇨완해솔분별위87.6%화79.2%,배뇨곤난완해솔균위100%,하복창통급뇨통불괄완해솔분별위75.1%화63.3%,병인치료조환자림상증상균완전소실.결론경뇨도전절+화료약물방광관주치료병변엄범차증상교중적선성방광염효과이상;병변급증상균교경차무명현합병증적선성방광염가채용단순방광관주;병변경미차유합병증적선성방광염가급여거제병인적대증치료.선성방광염구유복발급악변경향,수밀절수방.
@@@@Objective To investigate the optimal treatment of cystitis glandularis (CG) of different severity. Methods The clinical data of 47cases(38 females and 9 males) of CG were reviewed.Thirty-three cases of CG were treated by transurethral resection combined with bladder irrigation of epirubicin (surgery with medical group).Fourteen cases were treated with bladder irrigation of epirubicin conservatively (medical group).Three cases were treated by tran-surethral resection(etiological treatment group).Results All the patients were followed up from 8 to 30 months.The re-mission rate of frequency,urgency in surgery with medical group and medical group was 83.5% and 72.3%,respective-ly.The remission rate of hematuria was 87.6% and 79.2%,respectively.The remission rate of difficulty of urination for both groups was 100%.The remission rate of abdominal distention was 75.1% and 63.3%,respectively.The cases in the etiological treatment group were all Cured .Conclusions Transurethral resection and bladder irrigation of CG should be preferably performed for those cases whose lesions were severe and extensive .Bladder irrigation is equally effective for those with the superficial and limited lesions .Etiological treatment should be performed for those cases whose lesions were superficial,but combined with other diseases,such as BPH.Due to the recurrence and transform of malignancy , long-term follow-up is essential for those patients suffered from CG .